RICARDO YOUNG (NPI# 1073082657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073082657 |
| Entity Type | Individual |
| Full Name | RICARDO YOUNG |
| Practice Address |
33405 8th Ave S Federal Way WA 98003-6321 |
| Mailing Address |
325 W Gowe St Kent WA 98032-5892 |
| Practice Telephone | 2538337444 |
| Mailing Telephone | 2538337444 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538248323 | Ricardo B. Young | Family Medicine | 1801 H St Ste C-1, Modesto, CA 95354-1221 | 2006-11-03 |
| 1366779753 | Ricardo Dewayne Young | Pharmacist | 921 Henderson St, Fort Worth, TX 76102-3535 | 2009-11-05 |
| 1942482666 | Ricardo Van Young | Occupational Therapist | 6565 Fannin St, M1-024, Houston, TX 77030-2703 | 2007-12-04 |
| 1033275037 | Ricardo Montalbo Young | Surgery | Madigan Army Medical Center, Fort Lewis, WA 98433 | 2006-12-28 |
| Street Address |
33405 8TH AVE S |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525997 | Bethany Ferguson | Counselor | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-01 |
| 1578031225 | Charlotte Eagleton | Counselor | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-09 |
| 1023586914 | Danielle Goodwin | Peer Specialist | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-08 |
| 1841768116 | Jennifer Burkman | Counselor | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-05 |
| 1881162154 | Florencio Arenas | Counselor | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-05 |
| 1508334897 | Lorie Ann Larson | Specialist | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-05 |
| 1790253250 | Cheyanne Lubahn | Technician, Health Information | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1164817672 | Rikki Mires | Peer Specialist | 27606 Pacific Hwy S, Federal Way, WA 98003-3402 | 2015-04-01 |
| 1417588567 | Anne-marie Bishop | Peer Specialist | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-01-28 |
| 1003460619 | Janene Frost | Peer Specialist | 1336 S 336th St, Federal Way, WA 98003-6348 | 2019-07-31 |
| 1023586914 | Danielle Goodwin | Peer Specialist | 33405 8th Ave S, Federal Way, WA 98003-6321 | 2018-11-08 |
| 1205303765 | Delila Koler | Peer Specialist | 1336 S 336th St, Federal Way, WA 98003-6348 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.